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颅内出血性动脉瘤?垂体卒中!

Bleeding intracranial aneurysm? Pituitary apoplexy!

作者信息

Oliver R M, Craft T M, Shaw K M

机构信息

Department of Medicine, Queen Alexandra Hospital, Cosham, Portsmouth.

出版信息

Br J Clin Pract. 1991 Summer;45(2):150-1.

PMID:1793704
Abstract

Pituitary apoplexy describes the clinical syndrome characterised by headache, visual impairment and ophthalmoplegia caused by sudden enlargement of a pituitary adenoma. This is usually due to extensive tumour infarction or haemorrhage. Pituitary apoplexy is rare, mimics spontaneous intracranial bleeding, and thus may be easily mistaken for acute subarachnoid haemorrhage. Urgent surgical intervention and hormone replacement therapy are required.

摘要

垂体卒中是指由垂体腺瘤突然增大引起的以头痛、视力障碍和眼肌麻痹为特征的临床综合征。这通常是由于广泛的肿瘤梗死或出血所致。垂体卒中罕见,类似于自发性颅内出血,因此可能很容易被误诊为急性蛛网膜下腔出血。需要紧急手术干预和激素替代治疗。

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